Individual
DR. WYATT ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8220 WALNUT HILL LN, SUITE 408, DALLAS, TX 75231-4427
(214) 361-9777
(214) 891-0084
Mailing address
8220 WALNUT HILL LN, SUITE 408, DALLAS, TX 75231-4427
(214) 361-9777
(214) 891-0084
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D6860
TX
Other
Enumeration date
05/20/2006
Last updated
12/29/2011
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